| Yelm Family Medicine, Pllc | |
|
201 Tahoma Blvd Suite 102 Yelm WA 98597-7735 | |
| (360) 458-7761 | |
| (360) 458-6612 |
| Full Name | Yelm Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Tahoma Blvd, Yelm, Washington |
| Authorized Official Name and Position | Brenda E Longmire (MANAGER) |
| Authorized Official Contact | 3604587761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yelm Family Medicine, Pllc 201 Tahoma Blvd Se Suite 102 Yelm WA 98597 Ph: (360) 458-7761 | Yelm Family Medicine, Pllc 201 Tahoma Blvd Suite 102 Yelm WA 98597-7735 Ph: (360) 458-7761 |
| NPI Number | 1053364950 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 10/30/2012 |
| Medicare PECOS PAC ID | 6608767280 |
|---|---|
| Medicare Enrollment ID | O20040323000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053364950 | NPI | - | NPPES |
| 62140 | Other | WA | L&I |
| 7068828 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cheri M Dorhauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245283472 PECOS PAC ID: 6709812092 Enrollment ID: I20050708000377 |
| Provider Name | Robyn K Davies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932226818 PECOS PAC ID: 1355403510 Enrollment ID: I20081222000476 |
| Provider Name | Tamara C Bunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609829910 PECOS PAC ID: 5991846362 Enrollment ID: I20100107000140 |
| Provider Name | Monica A Wilhelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558310524 PECOS PAC ID: 2567476930 Enrollment ID: I20100126000615 |
| Provider Name | Bethany M Sweet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821240904 PECOS PAC ID: 3173792983 Enrollment ID: I20110812000312 |
| Provider Name | Andrew K Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922238344 PECOS PAC ID: 8325294861 Enrollment ID: I20120815000754 |
| Provider Name | Erin Patrice Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144450149 PECOS PAC ID: 4880819911 Enrollment ID: I20150709002558 |
| Provider Name | Chelsea Dawn Unruh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821402298 PECOS PAC ID: 3173749264 Enrollment ID: I20170728001739 |
| Provider Name | Catherine Talbot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568919975 PECOS PAC ID: 5294079703 Enrollment ID: I20210610002434 |
| Provider Name | Sheridan Lee Eckart-budinich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811492226 PECOS PAC ID: 7012399561 Enrollment ID: I20230905001256 |
| Provider Name | Jordan Seto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124588546 PECOS PAC ID: 9234538596 Enrollment ID: I20240315003552 |
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